Organization
DR. STEPHEN C. FISHER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN C FISHER DDS (SOLE MBR)
(479) 518-5111
Entity
Organization
Contact information
Practice address
1359 E MAIN ST, CLARKSVILLE, AR 72830-9554
(479) 744-6900
Mailing address
PO BOX 9178, RUSSELLVILLE, AR 72811-9178
(479) 498-6700
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
06/30/2017
Last updated
02/12/2021
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